Pediatric Sports and Spine Associates

Roderick Capelo Registered Agent	2020 W STATE HIGHWAY 114 STE 110, GRAPEVINE, TX 76051
Roderick Capelo Shareholder	812 MOOSE HOLLOW LN, EULESS, TX 76039
David S Brown Shareholder	606 TERRACE LN, COLLEYVILLE, TX 76034

2020 W STATE HIGHWAY 114 STE 110, GRAPEVINE, TX 76051 View Map

Form 5500

2020 West State Highway 114 STE 110, Grapevine, Tx 76051 (817) 310-0810 EIN:20-5145293 Plan Admin:Renee Capelo

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2023	Plan NamePEDIATRIC SPORTS AND SPINE ASSOCIATES 401(K) PLAN Plan #001 Participants BOY/EOY14 / 14 Assets BOY/EOY$409,548 / $553,953	2023	PEDIATRIC SPORTS AND SPINE ASSOCIATES 401(K) PLAN - Plan #001	14 / 14	$409,548 / $553,953
2022	Plan NamePEDIATRIC SPORTS AND SPINE ASSOCIATES 401(K) PLAN Plan #001 Participants BOY/EOY12 / 14 Assets BOY/EOY$498,637 / $409,548	2022	PEDIATRIC SPORTS AND SPINE ASSOCIATES 401(K) PLAN - Plan #001	12 / 14	$498,637 / $409,548
2021	Plan NamePEDIATRIC SPORTS AND SPINE ASSOCIATES 401(K) PLAN Plan #001 Participants BOY/EOY15 / 11 Assets BOY/EOY$407,794 / $498,637	2021	PEDIATRIC SPORTS AND SPINE ASSOCIATES 401(K) PLAN - Plan #001	15 / 11	$407,794 / $498,637
2020	Plan NamePEDIATRIC SPORTS AND SPINE ASSOCIATES 401(K) PLAN Plan #001 Participants BOY/EOY16 / 15 Assets BOY/EOY$337,050 / $407,794	2020	PEDIATRIC SPORTS AND SPINE ASSOCIATES 401(K) PLAN - Plan #001	16 / 15	$337,050 / $407,794
2019	Plan NamePEDIATRIC SPORTS AND SPINE ASSOCIATES 401(K) PLAN Plan #001 Participants BOY/EOY15 / 15 Assets BOY/EOY$236,631 / $337,050	2019	PEDIATRIC SPORTS AND SPINE ASSOCIATES 401(K) PLAN - Plan #001	15 / 15	$236,631 / $337,050

Benefit & Retirement Plans based on Form 5500.

PPP Loans

2020 W State Highway 114 Ste 110, Grapevine, TX 76051-8648 Industry:Offices of Physicians (except Mental Health Specialists) Veteran:No

Loan Date	Approved	Forgiven	Lender	Jobs
01/23/2021	Approved$120,800 Forgiven$121,475 LenderFrost Bank Jobs10	01/23/2021	$120,800	$121,475	Frost Bank	10
04/27/2020	Approved$121,400 Forgiven$122,281 LenderFrost Bank Jobs10	04/27/2020	$121,400	$122,281	Frost Bank	10

PPP Loans based on Paycheck Protection Program.

Address Match:2020 W State Highway 114 Grapevine, TX

Lone Star Gi, LLP Registered in Texas	Grapevine, TX		View Report
Neurology Associates of Metroplex, P.A. Registered in Texas	Grapevine, TX		View Report

Person/City Match:David S Brown - Colleyville, TX

Ouch (Orthopedic Urgent Care Home, P.L.L.C.) Registered in Texas	Colleyville, TX		View Report
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Street Match:W State Highway 114 Grapevine, TX

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Crl Partners, LTD. Registered in Texas	Grapevine, TX	View Report
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La Vior LLC Registered in Wyoming	Grapevine, TX Laramie County, WY	View Report
Barnaby & Wolfe, Inc. Registered in North Carolina	Grapevine, TX Raleigh, NC	View Report
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The following government agencies have contributed data:

Texas Comptroller of Public Accounts U.S. Department of Labor U.S. Small Business Administration

Company Summary